Organization
DUANE DEAN BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDY FERNANDO BORRAYO (PRESIDENT/CEO)
(773) 564-9070
Entity
Organization
Contact information
Practice address
1113 E COURT ST, KANKAKEE, IL 60901-4256
(815) 939-0125
(815) 929-1651
Mailing address
3942 W NORTH AVE, CHICAGO, IL 60647-4639
(773) 564-9070
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
01/17/2023
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